Individual
SHAWN DENISE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ELM ST, BIRMINGHAM, MI 48009-6332
(248) 341-7797
(248) 341-9012
Mailing address
28521 PRINCETON CT, MADISON HEIGHTS, MI 48071-3077
(248) 635-5914
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201006544
MI
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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